POSSIBILITIES, OPERATION AND OPTIMIZATION OF SECTORCOUPLED SUPPLY FOR THE FLEXQUARTIER

Abstract

Diabetes mellitus is a chronic metabolic disease recognized as an emerging epidemic that has a negative impact on health, the workforce, and the economy. It has serious consequences in various organ systems including the heart and blood vessels. The aim of this study is to assess Risk factors for the development of Heart Failure among Patients with Diabetes Mellitus Attending Somali Sudanese Specialized Hospital, 2021. A cross-sectional study was done among 110 diabetic patients hospitalized at Somali Sudanese Specialized Hospital (SSSH) in Somalia (2021), of whom 99 (90%) were DM Type 2 and 11 (10%) were DM Type 1. A structured questionnaire was administered to collect information about demographic, medical, and social factors that might be associated with the development of heart failure. The statistical Package for the Social Sciences, version 22 (IBM Corp., Armonk, NY, USA) was used for data analysis. It was found that more than half of the participants 59 (53.64%) were female and 51 (46.46%) were male. The majority of participants 61 (55.5%) had heart failure, and about 49 (44.5%) had not yet developed. More than 60 (54.55%) of the participant’s random blood glucose level was between 200-250 mg/dl and nearly one-third 37 (33.64%) was between 126200mg/dl, while 13 (11.8%) more than 250 mg/dl. Factors that showed significant association with heart failure incidence, with p< 0.05, were advanced age, low educational level, being married, elevated blood pressure, long duration of diabetes, irregularly taking of medicines, other comorbidities particularly hypertension and ischemic heart disease, and abnormal blood levels lipid profile. To achieve tight control of blood pressure and blood glucose levels, patients should be counseled to take their medications on a regular basis and have frequent hospital follow-ups.